Individual
AMY H STEFANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11675 CENTURY DR UNIT C, ALPHARETTA, GA 30009-8367
(770) 284-3399
(470) 299-2260
Mailing address
11675 CENTURY DR UNIT C, ALPHARETTA, GA 30009-8367
(770) 284-3399
(470) 299-2260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0700091
OH
1041C0700X
Clinical Social Worker
6801090894
MI
1041C0700X
Clinical Social Worker
Primary
CSW005987
GA
Other
Enumeration date
02/24/2010
Last updated
07/23/2020
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